The Selection of Operation Pattern for Portal Hypertension PHT Combined Cholelithiasis_West China Medical Journal

Authors：

ZHOU Xiaohui , ZHEN Bo , GAN Xianfeng , et al

Department of Heptobiliarypancretic Surgery,the People’s Hospital of Sichuan Provence,Chengdu 610041,China;

Corresponding?author：

Keywords：

門靜脈高壓癥; 膽石癥; 手術方式

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目的:探討門靜脈高壓癥(Portal hypertension,PHT)合并膽石癥的合理處理方式。方法:回顧分析2003年9月于2008年9月64例PHT合并膽石癥患者不同方式手術治療的結果。根據手術方式不同將64例患者分為三組。A組:僅行膽道手術(n=20);B組:在行PHT手術的同時行膽道手術(n=20);C組:在行PHT手術時對膽囊或膽道結石未作處理(n=24)。結果:死亡率A組10%,B組28.5%,C組4.3%。并發癥:A組40%,B組70%,C組25%。結論:PHT合并膽石癥無論僅行膽道手術或同期行PHT手術和膽道手術,手術死亡率和術后并發癥均顯著增加,尤以同期手術為明顯。根據患者情況選擇正確的手術方式,可有效降低手術風險。

Citation： ZHOU Xiaohui,ZHEN Bo,GAN Xianfeng,et al. The Selection of Operation Pattern for Portal Hypertension PHT Combined Cholelithiasis. West China Medical Journal, 2009, 24(3): 612-616. doi: Copy

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1. MOLLY SARKAR,PETER C.LAUSSEN,et al.Hemodynamic responses to etomidate on induction of anesthesia in pediatric patients[J].Anesth Analg,2005,101:645-6..
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3. 孫瑞元.定量藥理學[M].北京:人民衛生出版社,2000:162-173..
4. 姚泰,吳博威.生理學[M].北京:人民衛生出版社,2004:75-136..
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9. MOLLY SARKAR,PETER C.LAUSSEN,et al.Hemodynamic responses to etomidate on induction of anesthesia in pediatric patients[J].Anesth Analg,2005,101:645-6..

West China Medical Journal

The Selection of Operation Pattern for Portal Hypertension PHT Combined Cholelithiasis

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